HomeMy WebLinkAboutSchin, Richard - 2017 30-Day Post-Primary COMMONWEALTH OF PENNSYLVANIA
CAMPAIGN FINANCE STATEMENT
File this in lieu of a full report only if aggregate receipts, expenditures, or
liabilities incurred each did not exceed $250.00 during the reporting period.
FILER IDENTIFICATION , REPORT FILED1/1' 1
NUMBER ON BEHALF OF CANDIDATE. - COMMITTEE:: LOBBYIST
NAME OF FILINGCOMMITTEE,CANDIDATE OR LOBBYIST
1 fcki iGt FL_Lilija
STREET ADDRESS
5c-Cu-S I t- Ir.
CITY , STATE ZIP CODE
C...0-Al ii;II q)/71' t 70 II —
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY� DATE OF ELECTION
(CHECK ONE) IOc.O Shie e..0-41v ;ssieI�9� � MSO. DAY YEAR:
STH TUESDAY 1 70 W S�,/�!! 1 a `t;j-z r ✓ /61 l 7
PRE-PRIMARY FOR OFFICE USE ONLY
MO. DAY YEAR - -.NO. DAY YEAR
2ND FRIDAY 2' DATES OF
PRE-PRIMARY REPORTING 5- 1 / 7 TO r /6 /7
3o DAY ' n N
POST-PRIMARY Y C
CASH BALANCE AT END ........
-�
STH TUESDAY 4' OF REPORTING PERIOD: $ w CO t_
PRE-ELECTION xi
TOTAL AMOUNT OF FILER'S ._.
2ND:FRIDAY 5.
OUTSTANDING DEBTS OR LIABILITIES D %.0
PRE-ELECTION AT THE END OF REPORTING PERIOD: $ II CI
-O
6. O =
30 DAY: ': .....
POST-ELECTION AMENDMENT /YES NO C
REPORT? 2=.
7. .".'I _
ANNUAL TERMINATION -< Se
REPORTREPORT? YES NO f/
AFFIDAVIT SECTION
PART I-
If statement is filed on behalf of a Political Committee or Candidates's Committee,the Treasurer must sign here.
If statement is filed on behalf of a Candidate,the Candidate must sign here.
If statement is filed on behalf of a Contributing Lobbyist,the Lobbyist must sign here.
I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMENTS OR LIABILITIES INC -ED DURING THE REPORTING P- OD INDICATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS($250.00)AND THIS REPORT IS,TO THE BEST OF�MY', •;EDGE AND -ELIFF '-UE,CORRECT AND COMPLETE.
SWORN TO AND SUBSCRIBED BEFORE ME THIS /� '�^, /It. Iii/
DAY OF 20 ` JfXISIG TUR-S •ERSON SUBMITTING REPORT
PRINTED . E
SIGNATURE
MY COMMISSION EXPIRES 1 -7
MO. DAY YR. AREA CODE DAYTIME TELEPHONE NUMBER
PART II-
If statement is filed on behalf of a Candidate's Authorized Committee, Candidate must sign here.
I SWEAR(OR AFFIRM)THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THIS POLITICAL COMMITTEE-HAS-•= VIOLATED ANY PROVISIONS OF THE ACT OF
JUNE 3, 1937(P.L. 1333,No.320)AS AMENDED. ,,
SWORN TO AND SUBSCRIBED BEFORE ME THIS ILL.m, - L - _I�9�-�' \J� �J20 ,., GNATURE OF CANDIDATE
/ DAY OF �/�.� ` cc444(2�1\ IF Sc{t1,iii
`L� _ _`I- - ` / y t)ta /I(_ PRINTED NAMEMn
SIGNA r•i I' 01•! mu � '� 7- 6 g4.�
MY COMMISSION EXPIRES - 71 i s
AREA CODE DAYTIME TELEPHONE NUMBER
MO. fllEfAkf Owls
,R•sspi Public
CARLISLE 8ORO,CUtASERLAND COUNTY
My Commission Expire Jan 14,2019
DSEB-503(12-99)